The location of the neurovascular bundles containing the intercostal arteries is best described as the bundle that runs along the:
A. inferior margin of the associated rib
Your patient received a blow to the left lateral chest at the level of the sixth and seventh ribs. You should suspect fractures at:
D. the point of impact and the posterior axillary line of both ribs
Which of the following best describes the percentage of mortality from penetrating GSWs to the cranium?
A. 75 - 80
Your patient has a possible pelvic fracture from a frontal motor vehicle collision. She has a bp of 78 by palpation, a HR of 130, and responds only to painful stimuli. Before you arrived BLS providers immobilized the patient to a long backboard. Which of the following should you do next?
D. initiate rapid transport
Which of the following is NOT a benefit of PASG?
C. an autotransfusion of up to 2,000 ml of blood from the lower extremities
Which of the following changes is NOT of concern in the pregnant trauma patient?
B. the high likelihood of trauma to the uterus in the first trimester
The morbidity associated with simple pneumothorax is primarily due to which of the following?
C. ventilation/perfusion mismatch
Which of the following early signs of shock is easily missed?
C. tachycardia
You have arrived on scene of a paramedic who was shot as she approached a residence on a call. The scene has since been secured. Your patient is a 38 yof with one GSW to the left side of the chest at the fifth intercostal space in the midaxillary line. She is pale, cool, and awake but agitated. She is diaphoretic and complaining of pain in her left side and difficulty breathing. The patient's EMT partner has applied oxygen by NRB and an occlusive dressing over the entry wound before your arrival. As you continue your assessment, the patient's level of consciousness decreases. She responds to verbal stimuli. Her airway is clear, her RR is 38 and shallow, her neck veins are flat, and her breath sounds are absent on the left side. The patient lacks a radial pulse, and the ABD is nonguarded and nontender. Which of the following should you do first?
D. do an immediate needle chest decompression
Which of the following represents the correct sequence for controlling hemorrhage from an extremity?
C. direct pressure on the dressing and wound, finger pressure through the dressing to the leaking vessel, and, if pressure fails, application of a tourniquet
Your patient is a 17 yom driver of a vehicle that received a lateral impact at the driver's side door. There are no side-impact airbags, and there is about 8 inches of intrusion into the passenger compartment at the left door. Your patient is complaining of pain "in his left side." He has a contusion on the left shoulder and deformity of the left clavivle. He has erytherma over the left lateral thorax from ribs 6 through 12 with crepitus on palpation. Which of the following injuries should you suspect?
1. blunt trauma to the spleen
2. bunt trauma to the liver
3. penetrating trauma to the spleen
4. penetrating trauma to the liver
5. left pneumothorax
6. fracture of the left clavicle
7. soft tissue injury to the left shoulder
C. 1, 3, 5, 6, 7
Which of the following patients may have trauma to abdominal organs?
1. a 30 year old construction worker who fell from a second-story roof but managed to land on his feet
2. a 17 yom with a GSW to the right buttock
3. a 50 yom with a stab wound 4 cm inferior to the right scapula
4. a 45 yof restrained driver of an SUV with moderate-speed frontal impact
A. 1, 2, 3, 4
The finding of JVD in the patient with thoracic trauma is LEAST likely to be associated with which of the following?
A. hemothorax
Under normal circumstances, at any given moment most of the blood is in the _____ system.
D. venous
Your patient is a 45 yom with extensive blunt trauma to the face. He has decorticate posturing in response to pain; weak, irregular respiratory effort at 6 per minute; and a HR of 50 with a good radial pulse. The patient appears to have nasal and mandibular fractures, and an OPA is insufficient to keep the tongue from the posterior pharynx. Which of the following has the MOST potential to negatively impact the patient?
B. nasotracheal intubation
Your patient is a 60 yof restrained driver involved in a moderate-speed, frontal-impact collision. When you arrive at the scene, she is sitting up in the driver's seat with a chief complaint of a burning sensation of her face. You note abrasions from deployment of the airbag. After immobilizing the patient on a long backboard, you begin transport. As you perform a detailed examination, the patient complains of developing right shoulder pain. Which of the following should you suspect?
A. intraabdominal bleeding
Which of the following statements about the patient in neurogenic shock is NOT true?
A. unopposed sympathetic nervous stimulation results in generalized pallor and diaphoresis
Managing a laceration with arterial bleeding most often requires:
C. direct pressure
Assuming all of the following patients have experienced significant blood loss and are hypotensive, in which would the use of PASG be absolutely contraindicated?
C. a 31 yom with a stab wound between his thoracic vertebral column and right scapula
Which of the following can reduce the potential for abdominal injury?
D. all of the above
You have responded for an injured person at an address you know to be a motorcycle clubhouse. Your patient was attacked by another party with a broken beer bottle. Your patient has a large laceration on her neck with moderate bleeding. Which property of your dressing material is most important in caring for this patient?
D. occlusive
Recent research has provided evidence of which of the following regarding spinal-injury assessment?
A. there are reliable criteria for determining the likelihood of spinal injury
A laceration that is perpendicular to the tension lines of the body is more likely to:
D. leave a noticeable scar
Which of the following indicates that a patient has transitioned from compensated to decompensated shock?